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Correction of Asian Short Nose with Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting

BACKGROUND: Asians with short nose lack the cartilage needed to extend the length of the nose. A rhinoplasty technique using lower lateral cartilage (LLC) repositioning and ear cartilage grafting allows for sufficient nasal lengthening and nasal tip mobility in the correction of short nose in Asians...

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Autores principales: Byun, Jin Suk, Kim, Kenneth K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174162/
https://www.ncbi.nlm.nih.gov/pubmed/25289239
http://dx.doi.org/10.1097/GOX.0b013e3182a85b29
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author Byun, Jin Suk
Kim, Kenneth K.
author_facet Byun, Jin Suk
Kim, Kenneth K.
author_sort Byun, Jin Suk
collection PubMed
description BACKGROUND: Asians with short nose lack the cartilage needed to extend the length of the nose. A rhinoplasty technique using lower lateral cartilage (LLC) repositioning and ear cartilage grafting allows for sufficient nasal lengthening and nasal tip mobility in the correction of short nose in Asians. METHODS: Short nose was classified into 3 subtypes: type I, II, or III. During LLC repositioning, the LLC was separated from surrounding retaining structures, except at the footplate. The LLC was approximated medially and advanced with a Medpor strut. A silicone dorsal implant was inserted to suit the newly projected nasal tip. An ear cartilage onlay graft or ear cartilage extension graft was applied to further project and enhance the nasal tip and columella. RESULTS: Of the 854 primary rhinoplasty procedures performed on Asian patients between January 2008 and December 2011, 295 were performed on patients with short nose. LLC repositioning and ear cartilage onlay grafting were performed on 228 patients. LLC repositioning and ear cartilage extension grafting with or without ear cartilage onlay grafting were performed on 67 patients. Short nasal tip, alar retraction, and columellar retraction were corrected. Wound dehiscence with marginal necrosis occurred in 7 patients. One patient developed nasal infection. CONCLUSIONS: LLC repositioning and ear cartilage grafting aid in the correction of short nose in Asians. With LLC repositioning and ear cartilage grafting, the nasal tip can be positioned in accordance with the patient’s anatomic limits. The entire nasal tip and columella can be lengthened, while the tip maintains its mobility.
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spelling pubmed-41741622014-10-06 Correction of Asian Short Nose with Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting Byun, Jin Suk Kim, Kenneth K. Plast Reconstr Surg Glob Open Original Article BACKGROUND: Asians with short nose lack the cartilage needed to extend the length of the nose. A rhinoplasty technique using lower lateral cartilage (LLC) repositioning and ear cartilage grafting allows for sufficient nasal lengthening and nasal tip mobility in the correction of short nose in Asians. METHODS: Short nose was classified into 3 subtypes: type I, II, or III. During LLC repositioning, the LLC was separated from surrounding retaining structures, except at the footplate. The LLC was approximated medially and advanced with a Medpor strut. A silicone dorsal implant was inserted to suit the newly projected nasal tip. An ear cartilage onlay graft or ear cartilage extension graft was applied to further project and enhance the nasal tip and columella. RESULTS: Of the 854 primary rhinoplasty procedures performed on Asian patients between January 2008 and December 2011, 295 were performed on patients with short nose. LLC repositioning and ear cartilage onlay grafting were performed on 228 patients. LLC repositioning and ear cartilage extension grafting with or without ear cartilage onlay grafting were performed on 67 patients. Short nasal tip, alar retraction, and columellar retraction were corrected. Wound dehiscence with marginal necrosis occurred in 7 patients. One patient developed nasal infection. CONCLUSIONS: LLC repositioning and ear cartilage grafting aid in the correction of short nose in Asians. With LLC repositioning and ear cartilage grafting, the nasal tip can be positioned in accordance with the patient’s anatomic limits. The entire nasal tip and columella can be lengthened, while the tip maintains its mobility. Wolters Kluwer Health 2013-10-07 /pmc/articles/PMC4174162/ /pubmed/25289239 http://dx.doi.org/10.1097/GOX.0b013e3182a85b29 Text en Copyright © 2013 by the American Society of Plastic Surgeons-Global Open http://creativecommons.org/licenses/by-nc-nd/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivitives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Original Article
Byun, Jin Suk
Kim, Kenneth K.
Correction of Asian Short Nose with Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting
title Correction of Asian Short Nose with Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting
title_full Correction of Asian Short Nose with Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting
title_fullStr Correction of Asian Short Nose with Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting
title_full_unstemmed Correction of Asian Short Nose with Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting
title_short Correction of Asian Short Nose with Lower Lateral Cartilage Repositioning and Ear Cartilage Grafting
title_sort correction of asian short nose with lower lateral cartilage repositioning and ear cartilage grafting
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174162/
https://www.ncbi.nlm.nih.gov/pubmed/25289239
http://dx.doi.org/10.1097/GOX.0b013e3182a85b29
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